Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.03 / $904.05 / $1,808.10	Facility		$452.03	$904.05	$1,808.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.03 / $452.03 / $452.03	Professional		$452.03	$452.03	$452.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $391.76 / $391.76	Facility		$391.76	$391.76	$391.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $934.19 / $982.40 / $982.40	Professional		$934.19	$982.40	$982.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.76 / $391.76 / $759.40	Facility		$391.76	$391.76	$759.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $635.85 / $635.85 / $723.24	Professional		$635.85	$635.85	$723.24
United Facility/Professional Professional Modifier Low / Median / High Price $253.13 / $253.13 / $361.62	Professional		$253.13	$253.13	$361.62